HEPL

ethics training and ethics for 1st and 3rd BSI

Integrate elements to achieve an ethical and deontological approach in daily practice. give some basics for very specific activities in some operating blocks.

Ethics and deontology definitions

2.Grandes phases of clinical research organization

3 Ethical approach

4 Function monograph

5 Block operative, ethical relation patient compliance

6 Rights of the patient The responsibility of the nurses in the hospital activity.

8. Donated organ

9 .The ' voluntary termination of pregnancy

10. The harassment in the workplace

11. Issues medically assisted

12 Realization of ethical approaches via practical cases

Management of the levies in the operating room: conservation, specificities,...

Overview of forensic medicine and specific situation in the operating rooms

levies organ and transplants: decision-making does load sampling the transplant patient

  RMNin per-operative in neurosurgery

Bolly C., Grandjean V. : L'éthique en chemin, Démarche et créativité pour les soignants. Edition Weyrich 2004.

Revues belges Ethica Clinica : N°17, N°20, N°21, N° 40 et 41.

Hubeaux J-M,: "La responsabilité du personnel infirmier dans le cadre de son activité hospitalière". Revue AFISO, 2002 N°42.

courses of 1st, 2nd and 3 sth BSI in hygiene and prophylaxis

course of nursing in 1st, 2nd and 3 sth BSI

techniques and practices specific to nursing in the operating room

support full patient per - pre and post operative

role of operating room nurses, circulating and instrumentation)

-architecture of the operating

-operating room ventilation system

-washing hands, including washing surgical techniques

-sterile dressing

-manipulation of sterile equipment: basic principles and gestural

-account in the compresses

-the realization of the opératories fields

-the sutures

-positioning of patients (dorsal, ventral, knee-breastplate,...)

Hygiène au bloc opératoire, UNAIBODE; 3ième édition MASSON

L'infirmier de bloc opératoire, Catherine Banneel; Médecine-Sciences Flammarion 2005

Surveillance infirmière en pré et post opératoire, Catherine Remond, 3ième édition Lamarre

Le metier d'infirmier(e) de bloc opératoire, UNAIBODE, 2ième édition, Masson

Encyclopédie Médico-chirurgicale actualisée en anesthésie-réanimation, Ed. Elsevier.

BRUCE SCOTT D., Techniques of regional anaesthesia, Ed. Medi Globe.

UNAIBODE, Pratiques et références de l’infirmier(e) de bloc opératoire, Ed.Masson.

SAMAMA G., L’infirmière de bloc opératoire,tome 1 et 2  Ed. Maloine (3^ème édition).

Revue trimestrielle, Inter Bloc, Ed. Masson.

Revue trimestrielle, AFISO

Ressources internet, Fédération européenne des enseignants en soins infirmiers

Course of physiology, pharmacology, physics of 1st and 2e NG

Training course in operating room (3rd BSI)

To help and include the work of the anaesthetist - reanimator, in operating room and recovery room

Look to the students of the theoretical, technical notions and the assistances to the anesthesia and it in the various specialities (material, technical,...)

Preoperative bilan

General anesthesia - induction and intubation (all the techniques and existing procedures,                                       Medicines)                                 

                                 - The monitorings of surveillance                                  

                                 - During the anesthesia and possible incidents                                  

                                 - reveil (technique and complications)

Medullary anesthesia - majorities                                   

                                   - Epidural / rachi / sequential / caudal

Invasifs act - majorities

                   - Central, arterial catheters and Swan-Ganz

LEONARD L., FIRESTONE, PHILIP W., LEBOWITZ et COOK C.E. Manuel d’anesthésie clinique : Protocoles du Massachusetts General Hospital. Editions Pradel (3^ème édition) 1988.

SAMII K.. Anesthésie réanimation chirurgicale, Ed. Flammarion, 1990.

Encyclopédie Médico-chirurgicale actualisée en anesthésie réanimation. Edition Elsevier.

SCOTT B.D. Techniques of regional anaesthesia, Ed. Medi Globe, 1989.

UNAIBODE, Pratique et références de l’infirmier(e) de bloc opératoire, Ed. Masson, 1999.

ALEXANDRIDIS M.J., CAZALAA J.B. et GERARD-CLEMENT M. Tout connaître sur les cathétérismes et la perfusion, Ed hospitalières, 1998.

SAMAMA G.. L’infirmière de bloc opératoire. Tomes 1 et 2. Ed. Maloine (3^ème édition), 1998.

Revue trimestrielle ; Inter Bloc ; Ed. Masson.

Revue trimestrielle ; AFISO ; Editeur responsable : Mme DELANNOY.

Ressources internet ; Fédération européenne des enseignants en soins infirmiers.

2 days of training course in the opérating rooms with an anaesthetist

2 weeks of training course of help and assistant to the anesthesia                                                      

Course of nursing of 1ière, 2nd and 3ièmùe BSI

Course of hygiene and disease prevention

to know the rules of basic hygiene applied in operating room

Know the various techniques of sterilisation

Principles of basic hygiene: reminder

The contaminated patients

The technques of isolations in operating room

The ventilations in operating room (visit of the systems of ventilation

The sterilisation of the material(equipment) surgical médico: technques, indications...

Course of surgical pathology of the 2nd year and courses of surgery, ortho and traumatology techniques (4th op room)

To apply a step in perish-operational nursing cares as a circulating nurse and of the notions as an instrumentalist nurse: reception, installation, role and function

For the following surgical techniques:

• Plasters
• Taking away of autologic osseous graft
• Hooping
• Screwing
• Plates
• Centro medullar pinning
• Wire splinting
• Endoscopies: shoulders, knee, wrist, elbow
• Total protheses of hip, the knee, shoulder
• External fixers

NARCHI P. et Mc ANTALKY, Anesthésie pour arthroscopie de l’épaule, Mapar édition, 15-20, 1997.

LONGERON O et RIOU B., L’anesthésie pour chirurgie orthopédique, Arnette, 1997.

SAMANA G., L’infirmière au bloc opératoire, Tome 2, Maloine (2^ème édition), 1998.

Inter-Bloc, Tome XVIII, n°2, Juin, n° 3 Septembre1999.

Course of surgical pathology of 3rd GN and course of procedure vascular-thoracic procedure of 4th year SOP

To apply a step in perish-operational nursing care as a circulating nurse and the notions as an instrumentalist nurse: reception, installation, role and function

Vascular intervention:

· Surgery of the carotidian junction

· Surgery of the femoro-leg lesions

· Surgery of the abdominal aorta

· Sympathectomy

· Embolectomy with Fogarty probe

· Amputations

· Varixes

Thoracic intervention:

· Endoscopic thoracic surgery (pneumothoraxes, pulmonary tumours, biopsies, etc...)

· Thoracic surgery by thoracotomy (lobectomies, pneumonia...)

Cardiac intervention

· Myocardic Revascularisation by aorto-coronary bridgings

· Octopus

· "Minimally invasive"

· Mitral Stenosis: opened mitral commissurotomy, replacement

· Mitral insufficiency: plastics, valvuloplastics, replacement

Stenosis and aortic insufficiency: resection of the vascular apparatus, vascular replacement by an adapted prosthesis

FATTORUSSO V. et RITTER O., Vademecum clinique : du diagnostic au traitement, Italie Masson (13^ème édition), 1994.

DELAHAYE J-P., Cardiologie pour le praticien, Simep, Paris, 1989..

GAUX J.C., Imagerie du cœur et des vaisseaux, Flammarion, Paris, 1992.

Radiologie interventionnelle vasculaire, Masson, Paris, 1993.

LIMET R., LENELLE J., CREEMERS E. et BONNET P., Peripheral Vascular Surgery, Boehringer Ingelheim, University Hospital of Liège (CHU), Belgium, 1994.

SAMANA G., L’infirmière au bloc opératoire, Maloine, 1998.

KERDJADJ C., COMBOURIEU M. et MATYSIAK B., Anévrisme de l’AA sous rénale : Intervention, Soins Chirurgie, n°159, Mai 1994.

MONIER N., ACQUAVIVA M-H. et ASSOULINE M., Rôle et place de l’infirmière anesthésiste au cours d’un pontage aorto-coronarien, Soins Chirurgie, n°147, Mai 1993.

Course of surgical pathology of 2nd and 3rd GN and course of abdominal procedure of 4th year spec. Operating room.

To apply a step in perish-operational nursing care as a circulating nurse and the notions as an instrumentalist nurse: reception, installation, role and function

Surgery of the oesophagus:Zenker’s diverticulum; megaoesophagus; hiatal hernia; cancer of theoesophagus.

Surgery of the stomach: gastrostomy; vagotomy, gastrectomy.

Endocrine surgery: the thyroid, the breath

Surgery of the small intestine , jejunostomy; ilostomy ; enteroplasty.

Surgery of the colon: colostomy  ; colectomy.

Proctological surgery: hemorroïds ; fistule ileostomy; enteroplasty.

Surgery ofextra-hepatical bile duct : cholecystectomy ; bilio digestive anastomoses

Surgery of spleen: splenectomy

Recto-colitis-ulcéro-hemorrhagic

Surgery of obesity:sleeve ; flexible gastric ring; gastric bypass

FREXINOS J. et A.L., Hépato-gastro-entérologie clinique, Editions Simep (3^ème édition), Paris, 1998.

LESTAS P. et DELAITRE B., Chirurgie digestive par voie coelioscopique, Maloine, 1991.

SAMANA G., L’infirmière au bloc opératoire, Tome 1, 2^ème édition, 1998.

Inter-Bloc, Chirurgie de l’obésité morbide, Tome XX, n°3, Septembre 2001.

Dr CADIERE, La chirurgie fonctionnelle de l’estomac, Revue AFISO, n°21, 1994.

Recommandations de l’AORN concernant la technique aseptique, Revue AFISO, n°35, 1999.

COLLET D., Fundoplicature pour reflux gastro-oesophagien : technique et indication par laparoscopie, Soins Chirurgie, n°181, 1997.

HASHEMI M. (M.D.F.R.C.S.), SILLIN L.F. (M.D.) et PETERS J.H. (M.D.), Esophageal ang Gastric Diseases : Current Concepts in the Management of Paraesophageal Hiatal Hernia, Clinical Reviews, 1999.

Notes de cours BELLAICHE , MEURISSE  Traitements médicaux et chirurgicaux des pathologies digestives, Université de Liège ,2002

Courses of nursing care of the 1st, 2^nd and 3rd year and course of nursing of Op.room ( 3^rd year).

To apply a step in perish-operational nursing cares as a circulating and instrumentalist nurse ; role and function

Surgery of the hand and microsurgery

• Traumatic lesion / Reimplantation
• Channel carpien

Paediatric surgery

• Abdominal intervention (hirschprung)

Otorhinolaryngologic surgery :

• Ears (tympanic trans drain, cholestéatome)
• Nose (septoplastie)
• Throat (amygdalae, laser of the vocal cords, laryngoscopy)

Urologic surgery

• High way (phimosis, prostate, nephrectomy
• Endoscopic way (résection )
• Lithotrity

Gynaecological surgery

• Low way ( uterine curetting utérin, hooping, conisation)
• High way (hysterectomy, caesarean )
• Coelioscopic way (hysterectomy, test with blue…)

Neurosurgery

• Cranium (extra-dural hematome)
• Column (lumbar slipped disc)

Ophtalmologic surgery

• Traumatology
• Surgery of the retina
• Cataract

Plastic surgery

• Mammal prothesis
• Scrap

Maxillo-facial surgery

Jaw fracture

Encyclopédie Médico-chirurgicale actualisée en anesthésie-réanimation, Ed. Elsevier.

BRUCE SCOTT D., Techniques of regional anaesthesia, Ed. Medi Globe.

UNAIBODE, Pratiques et références de l’infirmier(e) de bloc opératoire, Ed.Masson.

SAMAMA G., L’infirmière de bloc opératoire, Ed. Maloine (3^ème édition).

Revue trimestrielle, Inter Bloc, Ed. Masson.

Revue trimestrielle, AFISO, Editeur responsable : Mme DELANNOY.

Pathologie chirurgicale,Ed. Masson (3^ème édition).

STORZ K., The world of endoscopy, Documentation, 5^ème edition, 1/96.

Ressources internet, Fédération européenne des enseignants en soins infirmiers.

None

To organize the maintenance of the material and the buildings for the continuity of the operational programmes

Relation with the different hospital services:

· wards

· sterilization and purchse

· Radiology

· Laboratory

Equipment plan

Stock management:

· Relations with the purchase service

· Relations with the sterelization service

Cost and programme study

Tarification :

· Relations with tarification service

· Respect of the different INAMI codes

· Relations with the pharmacy

Computarised management

DRAPEAU J., L’évaluation de la qualité des soins infirmiers : un processus à respecter, des rôles à préciser Gésiqualité ; Québec ; Vol. 2 , n° 2, 1993.

GENART T., De l’implantation d’un logiciel de quantification de l’activité infirmière vers un processus d’amélioration continue au bloc opératoire, TFE CPSI, Bruxelles, 1996.

ILLICH I. (Le seuil) in PERETTI J.M., La convivialité, Ressources humaines, Paris, Vuibert gestion, 1990, p 559.

Résumé infirmier Minimum ; Ministère de la santé publique et de l’environnement ; Administration des Etablissements de Soins ; Service Etudes de Nursing, Bruxelles; 19/01/1988 ; pp 1-29.

ORTSMAN O., Quel travail pour demain ? , Paris, Dunod entreprise, Janvier 1994.

PERETTI JM., Ressources humaines, Paris, Vuibert gestion ,1990.

SAGEHOMME D., Personnel de santé pour un travail meilleur, Guide d’analyse des conditions de travail en milieu hospitalier, Bruxelles, INRCT, 20/01/94.

Lectures of the prévious years.

Understanding the legal scheme which définies the obligations applying to this job.

Direct and indirect civil liability.

Criminal liability.

Professional secrecy.

Organ donation.

Patients' rights.

Labour contract.

Clinical teaching

The placements will be carried out in the university services of the University of Liege and in the hospitals and private clinics recognized by the Service of Inspection of the schools for nursing care and paramedical personnel of the Ministry for the French-Speaking Community.

During placements,students will take part in :

• The development of the project of continuous training and with the training activities inside and/or outside the hospital.
• Work commissions on the organization of the infrastructures of the operating room and the working methods
• The training of auxiliary staff
• Research in nursing care
• The carrying out of the protocols justifying the quality of the care.

In the evaluation of the actions undertaken with the team of nurses and care unit, of central sterilization, the hygienists, the technicians and information and the pharmacist.

General and specific placement

Step in nursing care as a circulating and instrumentalist nurse

• In digestive surgery
• In traumatologic and orthopedic surgery
• In cardiac vascular and thoracic surgery
• Others (ophthalmology, ORL, gynaecology, urology... Assistance with the anaesthetist and perish-operational .room in sterilization

Nursing care as an operative assistance approach

Placements in real situations under the supervision of a professor of the High School and/or by the person in charge for placement course of the welcoming institution. Written reports related to the activities of professional integration

reports

the overall training

develop an approach to research

working on a main theme choice joint research.Students use their training and experience to achieve.

This work could serve as a tool to (d) "operation" room nurses